Effects of MBSR therapy with sleep quality and perceived stress of postoperative infection of patients in the department of orthopedics

doi:10.3877/cma.j.issn.1674-1358.2016.05.028

Abstract

Abstract:

Objective

To investigate the effects of mindfulness based stress reduction therapy on sleep quality and perceived stress of postoperative infection of patients in the department of orthopedics.

Methods

Total of 40 cases with infection after orthopedic surgery in our hospital were selected as control group, receiving conventional health education from January 2011 to January 2013. Total of 40 cases with infection after orthopedic surgery in our hospital were as observation group, receiving routine education combined with mindfulness training reduced pressure from January 2014 to January 2015. The stress perception score and sleep quality score were compared between the two groups before and after the intervention, respectively.

Results

Before the intervention, the sleep quality scores of patients in observation group and control group were (12.54±1.33) and (12.57±1.38), respectively, with significant difference (t = 1.792, P = 0.069). After the intervention, the sleep quality scores of patients in observation group and control group were (6.80±0.78) and (9.00±0.76), respectively, with significant difference (t = 2.429, P = 0.015). Before nursing intervention, the perceived stress score of patients in observation group and control group were (39.26±4.68) and (39.53±4.02), without significant difference (t = 1.583, P_{= 0.091). After nursing intervention, the perceived stress score of patients in observation group and control group were (34.86±5.02) and (39.21±3.56), respectively, with significant difference (t = 2.035, P = 0.044).}

Conclusions

The mindfulness based stress reduction therapy could reduce pressure and improve the sleep quality of patients with infection after operation , in the department of orthopedics.

Key words: Mindfulness decompression therapy, Orthopedic postoperative infection, Sleep quality, Perceived stress

Ping Ren, Jingjing Tan. Effects of MBSR therapy with sleep quality and perceived stress of postoperative infection of patients in the department of orthopedics[J]. Chinese Journal of Experimental and Clinical Infectious Diseases(Electronic Edition), 2016, 10(05): 635-638.

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References 20

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分组	例数	入睡时间	主观睡眠质量	睡眠效率	睡眠时间
观察组	40
干预前		1.95±0.54	1.92±0.52	2.22±0.57	1.99±0.55
干预后		1.19±0.39	0.84±0.32	1.26±0.42	1.29±0.40
对照组	40
干预前		1.92±0.57	1.90±0.53	2.27±0.63	2.03±0.59
干预后		1.67±0.39	1.37±0.32	1.57±0.42	1.70±0.40
t值		t ₁ = 2.276	t ₁ = 2.293	t ₁ = 2.383	t ₁ = 2.365
		t₂ = 2.319	t₂ = 2.263	t₂ = 2.421	t₂ = 2.435
		t₃ = 1.726	t₃ = 1.602	t₃ = 1.783	t₃ = 1.819
		t₄ = 2.175	t₄ = 2.419	t₄ = 2.115	t₄ = 3.827
P值		P ₁ = 0.031	P ₁ = 0.027	P ₁ = 0.019	P ₁ = 0.021
		P₂ = 0.025	P₂ = 0.039	P₂ = 0.017	P₂ = 0.013
		P₃ = 0.081	P₃ = 0.087	P₃ = 0.071	P₃ = 0.067
		P₄ = 0.041	P₄ = 0.018	P₄ = 0.043	P₄ = 0.009
分组	例数	催眠药物	睡眠障碍	日间功能障碍	总分
观察组	40
干预前		0.92±0.37	1.73±0.50	1.81±0.51	12.54±1.33
干预后		0.29±0.17	1.35±0.45	0.58±0.23	6.80±0.78
对照组	40
干预前		0.97±0.37	1.70±0.50	1.78±0.52	12.57±1.38
干预后		0.39±0.17	1.44±0.45	0.86±0.23	9.00±0.76
t值		t ₁ = 2.279	t ₁ = 2.285	t ₁ = 2.343	t ₁ = 3.929
		t₂ = 2.193	t₂ = 2.267	t₂ = 1.997	t₂ = 2.429
		t₃ = 1.843	t₃ = 1.765	t₃ = 1.618	t₃ = 1.792
		t₄ = 2.021	t₄ = 2.371	t₄ = 4.137	t₄ = 2.011
P值		P ₁ = 0.030	P ₁ = 0.026	P ₁ = 0.023	P ₁ = 0.007
		P₂ = 0.040	P₂ = 0.038	P₂ = 0.049	P₂ = 0.015
		P₃ = 0.063	P₃ = 0.074	P₃ = 0.085	P₃ = 0.069
		P₄ = 0.045	P₄ = 0.020	P₄ = 0.005	P₄ = 0.047

分组	例数	入睡时间	主观睡眠质量	睡眠效率	睡眠时间
观察组	40
干预前		1.95±0.54	1.92±0.52	2.22±0.57	1.99±0.55
干预后		1.19±0.39	0.84±0.32	1.26±0.42	1.29±0.40
对照组	40
干预前		1.92±0.57	1.90±0.53	2.27±0.63	2.03±0.59
干预后		1.67±0.39	1.37±0.32	1.57±0.42	1.70±0.40
t值		t ₁ = 2.276	t ₁ = 2.293	t ₁ = 2.383	t ₁ = 2.365
		t₂ = 2.319	t₂ = 2.263	t₂ = 2.421	t₂ = 2.435
		t₃ = 1.726	t₃ = 1.602	t₃ = 1.783	t₃ = 1.819
		t₄ = 2.175	t₄ = 2.419	t₄ = 2.115	t₄ = 3.827
P值		P ₁ = 0.031	P ₁ = 0.027	P ₁ = 0.019	P ₁ = 0.021
		P₂ = 0.025	P₂ = 0.039	P₂ = 0.017	P₂ = 0.013
		P₃ = 0.081	P₃ = 0.087	P₃ = 0.071	P₃ = 0.067
		P₄ = 0.041	P₄ = 0.018	P₄ = 0.043	P₄ = 0.009
分组	例数	催眠药物	睡眠障碍	日间功能障碍	总分
观察组	40
干预前		0.92±0.37	1.73±0.50	1.81±0.51	12.54±1.33
干预后		0.29±0.17	1.35±0.45	0.58±0.23	6.80±0.78
对照组	40
干预前		0.97±0.37	1.70±0.50	1.78±0.52	12.57±1.38
干预后		0.39±0.17	1.44±0.45	0.86±0.23	9.00±0.76
t值		t ₁ = 2.279	t ₁ = 2.285	t ₁ = 2.343	t ₁ = 3.929
		t₂ = 2.193	t₂ = 2.267	t₂ = 1.997	t₂ = 2.429
		t₃ = 1.843	t₃ = 1.765	t₃ = 1.618	t₃ = 1.792
		t₄ = 2.021	t₄ = 2.371	t₄ = 4.137	t₄ = 2.011
P值		P ₁ = 0.030	P ₁ = 0.026	P ₁ = 0.023	P ₁ = 0.007
		P₂ = 0.040	P₂ = 0.038	P₂ = 0.049	P₂ = 0.015
		P₃ = 0.063	P₃ = 0.074	P₃ = 0.085	P₃ = 0.069
		P₄ = 0.045	P₄ = 0.020	P₄ = 0.005	P₄ = 0.047

组别	例数	干预前	干预后	t值	P值
观察组	40	39.26±4.68	34.86±5.02	2.008	0.048
对照组	40	39.53±4.02	39.21±3.56	2.275	0.033
t值		1.583	2.035
P值		0.091	0.044

组别	例数	干预前	干预后	t值	P值
观察组	40	39.26±4.68	34.86±5.02	2.008	0.048
对照组	40	39.53±4.02	39.21±3.56	2.275	0.033
t值		1.583	2.035
P值		0.091	0.044

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